CECIL OSTERDOCK

IDABEL, OK
NPI1912206988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-03-16
Last Update Date2011-11-30
Business Address
Mr. CECIL OSTERDOCK BA, BHRS,CM
104 NE AVE A
IDABEL, OK 74745-3813
Phone number: 580-286-3301
Mailing Address
Mr. CECIL OSTERDOCK BA, BHRS,CM
PO BOX 689
IDABEL, OK 74745-0689
Phone number: 580-286-3301